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Laparoscopically assisted vaginal hysterectomy LAVH removes the uterus through the vagina. In some cases, the ovaries and fallopian tubes are taken out at the same time. In a laparoscopically assisted vaginal hysterectomy, the doctor makes one or more small cuts incisions in the belly. The doctor inserts a lighted viewing instrument laparoscope, or scope and surgical tools through the cuts in the belly.
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Laparoscopic Assisted Vaginal Hysterectomy (LAVH)
Laparoscopically Assisted Vaginal Hysterectomy: A Gimmick or An Advance?
Objective: To assess the feasibility of performing laparoscopically assisted vaginal hysterectomy LAVH on women referred for total abdominal hysterectomy TAH. Design: Prospective intervention study on women referred for TAH from a gynaecological outpatient clinic. This institution accepts patient referrals from community hospitals and family physicians for hospitalised care. Women able to undergo conventional vaginal hysterectomy, women with uterine fibroids exceeding 14 weeks in size and subjects with malignant disease were excluded. The most common indication for hysterectomy was persistent abnormal bleeding. Intervention: Of the 41 women assessed pre-operatively as suitable for LAVH, the procedure was successfully performed in 40 by means of a bipolar desiccation and scissors transection technique with re-usable equipment.
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Indication for Laparoscopically Assisted Vaginal Hysterectomy
A different procedure, called a laparoscopic hysterectomy, is entirely performed using a laparoscope and other instruments inserted through tiny abdominal incisions, and the uterus, fallopian tubes etc. You do not qualify for LAVH if you have advanced cancer. Your physician will also conduct a full physical exam—including blood, Pap smear and imaging tests.